First Name *

Last Name *

What main health concerns or goals would you like help with? *

How long have you been experiencing these issues?

Are you taking any medications, supplements, or undergoing other treatments?

Do you have any diagnosed medical conditions?

Have you worked with a herbalist or alternative practitioner before?

Yes
No
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Preferred Consultation Type (Virtual or In-person) *

In-person €120
Virtual (Zoom/phone) €70
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What days/times generally suit you for a consultation?

Phone *

Email *

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